Provider Demographics
NPI:1477508349
Name:LUEDDE, DONA S (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONA
Middle Name:S
Last Name:LUEDDE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5850 ELLSWORTH AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1775
Mailing Address - Country:US
Mailing Address - Phone:412-362-1668
Mailing Address - Fax:412-661-2036
Practice Address - Street 1:5850 ELLSWORTH AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1775
Practice Address - Country:US
Practice Address - Phone:412-362-1668
Practice Address - Fax:412-661-2036
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003807L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000074779Medicare UPIN